Individual
ARAVIND BUDDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15640 REDMOND WAY, REDMOND, WA 98052-3831
(425) 881-5533
Mailing address
15640 REDMOND WAY, REDMOND, WA 98052-3831
(425) 881-5533
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE 60121878
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347453000
—
MN
Enumeration date
07/02/2007
Last updated
07/21/2010
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